Regular accredited laparoscopic surgeon interventions improve gynecologist disincentives and attitudes in a local hospital: a questionnaire-based study.

Kurosawa, Kazuko; Horisawa, Shin; Takeuchi, Hiroyasu; Washimi, Yumi; Toru, Hondo

doi:10.5180/jsgoe.34.2_171

Cited by 1 publication

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…From Nagano prefecture in Japan, Kurosawa et al . also reported an increase in the implementation of laparoscopic surgeries performed due to the regular surgical business trips of laparoscopy‐qualified gynecologists 7 . However, the reports of improvements in regional disparities from these interventions are still lacking.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the number of laparoscopic surgeries in Japan and other countries has been increasing every year 3–5 . However, several previous studies have highlighted concerns about regional disparities in the implementation of laparoscopic surgeries in Japan 6,7 . Patients' inadequate access to standard care of laparoscopic surgery may cause a significant problem with respect to healthcare delivery.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Correlation between the number of laparoscopy‐qualified gynecologists and the proportion of laparoscopic surgeries for benign gynecological diseases in Japan: An ecological study

Isobe

Kataoka

Chikazawa

et al. 2020

J of Obstet and Gynaecol

View full text Add to dashboard Cite

AimWe aimed to evaluate regional disparities in the proportion of the three main laparoscopic surgeries for benign gynecological diseases among 47 prefectures in Japan and their correlation with the number of laparoscopy‐qualified gynecologists per population.MethodsIn this retrospective ecological study, we collected the data of patients from 47 prefectures in 2017 using “The National Database of Health Insurance Claims and Specific Health Checkups of Japan” Open Data from the Ministry of Health, Labor and Welfare in Japan. The primary outcome of the study was the proportion of laparoscopic surgeries conducted for benign gynecologic diseases (hysterectomy, myomectomy and surgery for the benign ovarian diseases). The main exposure was the number of laparoscopy‐qualified gynecologists per 100 000 females.ResultsThe average proportion of laparoscopic hysterectomies, myomectomies and surgeries for the benign ovarian disease were 38% (standard deviation (SD) 16, range 12–74), 48% (SD 18, range 9–81) and 60% (SD 11, range 36–79), respectively. Multiple regression analysis showed a significant correlation between the number of laparoscopy‐qualified gynecologists per 100 000 females and the proportion of the three main laparoscopic surgeries.ConclusionThere are obvious regional disparities in the proportion of the three main laparoscopic procedures for benign gynecological diseases among 47 prefectures. The number of laparoscopy‐qualified gynecologists correlated significantly with these regional disparities. The academic society should monitor these regional disparities and make an effort to reduce these regional disparities by increasing laparoscopy‐qualified gynecologists in areas where the widespread use of laparoscopic techniques is lagging.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%